Barbara Bates Foundation

The event will be held on Saturday, August 24, 2019 at Douglas Park Field House (1401 S. Sacramento Drive, Chicago, IL 60623). Starting Time: 8:30AM promptly – please arrive between 6:30-7:30AM for t-shirt pick up.

To register by mail and pay by check, download and print this form. Or to register now and pay online, fill out the online registration form, below.

Contact Barbara Bates Designs with questions at 312.808.8091 or email us at kobcwithbbates@yahoo.com.

Participant Status:

Your Name:

Gender:

Age (optional):

Address:

City:

State:

Zip Code:

Phone:

Email:

Please select your team from the list below (or select individual if you are not part of a team):

Note: Teams consist of 30 or more.

Select T-Shirt Size (adult):

Registration Entry Fee: $55.00 per individual (includes processing fee)--12 and under free
(payment will be made on next page)

No refunds.
Registration open through August 23, 2019
Must be registered by August 17, 2019 to be guaranteed a T-shirt (including teams)
Team size consists of 30+
Children ages 12 and under walk FREE with an accompanied adult or guardian
Children ages 12 – 18 require a registration entry fee and parent’s signature

Comments

Terms:

In consideration of this entry being accepted, I hereby for myself, heirs, executors, administrators, waive and release any and all rights and claims for damages I may have against the Barbara Bates Foundation, Mount Sinai Hospital and Chicago Park Districts, race officials, and all sponsors, of all claims or liabilities of any kind arising out of my participation in this event or while traveling to and from. I allow any photographs or materials from this event to be used to publicize this or future Barbara Bates Foundation events.
Check here to confirm that you have read and accepted terms.

Please make sure to read and accept the above Terms. You will be unable to submit this form without checking that you have read and accepted the above terms.

The Barbara Bates Foundation is a registered 501(c)(3) organization.